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[健康受试者静脉注射盐酸索他洛尔后血浆水平及对心电图间期的作用]

[Plasma level and action of sotalol-HCL on the ECG interval after parenteral administration in healthy subjects].

作者信息

Rehm K D, Schnelle K, Dyde C J, Blümner E, Arendts W

机构信息

IPHAR Institut für Klinische Pharmakologie GmbH, München.

出版信息

Arzneimittelforschung. 1987 Sep;37(9):1058-62.

PMID:3435602
Abstract

Sotalol (Sotalex; Sotacor) is a beta-blocker with additional class III antiarrhythmic activity. In this study two intravenous doses of 1.5 mg/kg and 2 mg/kg body weight were administered in 8 healthy volunteers in order to determine the pharmacokinetics and ECG intervals. After a short-term infusion (5 min) plasma levels and the relevant pharmacokinetic parameters were determined. The ECG parameters (QRS, PQ, QT, QTc), blood pressure, heart rate and tolerability were also evaluated. A correlation between the plasma concentration of sotalol, the decrease in heart rate and a prolongation of the real QT interval was found for both dose levels and for a period of 2 h after administration. A prolongation of the QTc-time could only be statistically confirmed for the higher dose. No differences in pharmacokinetic parameters were observed between the two doses.

摘要

索他洛尔(苏特来克斯;索他洛尔)是一种兼具Ⅲ类抗心律失常活性的β受体阻滞剂。在本研究中,对8名健康志愿者静脉注射了1.5毫克/千克和2毫克/千克体重这两种剂量,以确定其药代动力学和心电图间期。在短期输注(5分钟)后,测定了血浆水平及相关药代动力学参数。还评估了心电图参数(QRS、PQ、QT、QTc)、血压、心率和耐受性。在给药后2小时内,两种剂量水平下均发现索他洛尔血浆浓度、心率降低与实际QT间期延长之间存在相关性。仅在较高剂量时,QTc时间延长才能得到统计学证实。两种剂量之间未观察到药代动力学参数的差异。

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